ATI VERIFIED LATEST UNITED STATES MEDICAL LICENSING EXAMINATION SAMPLE TEST QUESTIONS AND ANSWERS Graded A, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A Question 1 1. A 30-year-old man comes to the emergency department because of an acute episode of renal colic. Medical history is remarkable for episodes of painful urination and passing of what he calls "gravel in my urine." Urinalysis demonstrates microscopic hematuria with some crystalluria and no casts. Supine x-ray of the abdomen shows no abnormalities. A 4-mm renal calculus is detected in the distal right ureter on ultrasonography. There is no evidence of dilation of the collecting system. The patient's pain is responsive to narcotic medication. In addition to administering intravenous fluids, which of the following is the most appropriate next step? A. Acidification of urine by drinking cranberry juice B. Cystoscopic removal of the calculus C. Cystoscopic ureteral lavage D. Shock wave lithotripsy E. Straining of the urine Questions 2 to 3 A 52-year-old man returns to the office for reevaluation of an ulcer on his right great toe. The patient has a 15-year history of diabetes mellitus and takes glipizide and rosiglitazone. He first noticed the ulcer 2 months ago. One month ago, a 14-day course of oral amoxicillin-clavulanate therapy was prescribed. He has smoked one pack of cigarettes daily for the past 37 years. He is 178 cm (5 ft 10 in) tall and weighs 102 kg (225 lb); BMI is 32 kg/m2. Today, vital signs are temperature 38.8°C (101.8°F), pulse 96/min, respirations 12/min, and blood pressure 130/85 mm Hg. Physical examination of the right great toe discloses a 1.5-cm nontender ulcer with a depth of 0.5 cm, a moist base, yellow exudate, and surrounding erythema to the level of the malleoli. Vibration sense and sensation to monofilament examination are absent. Pulses are diminished in both feet. Capillary refill time is 2 seconds in the right great toe. Urinalysis discloses 3+ protein. 2. Which of the following historical factors or physical examination findings is most strongly associated with development of this patient's foot ulcer? A. Diminished pedal pulses B. Neurologic findings C. The patient's weight D. Proteinuria E. Tobacco use 3. Which of the following is the most appropriate action at this time? A. Begin aggressive debridement in the office B. Begin intravenous antibiotic therapy C. Refer the patient for transmetatarsal amputation D. Schedule the patient for a third-degree skin graft E. Switch the amoxicillin-clavulanate to oral ciprofloxacin

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ATI VERIFIED LATEST UNITED STATES MEDICAL LICENSING EXAMINATION SAMPLE TEST QUESTIONS AND ANSWERS Graded A, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A... Question 1 1. A 30-year-old man comes to the emergency department because of an acute episode of renal colic. Medical history is remarkable for episodes of painful urination and passing of what he calls "gravel in my urine." Urinalysis demonstrates microscopic hematuria with some crystalluria and no casts. Supine x-ray of the abdomen shows no abnormalities. A 4-mm renal calculus is detected in the distal right ureter on ultrasonography. There is no evidence of dilation of the collecting system. The patient's pain is responsive to narcotic medication. In addition to administering intravenous fluids, which of the following is the most appropriate next step? A. Acidification of urine by drinking cranberry juice B. Cystoscopic removal of the calculus C. Cystoscopic ureteral lavage D. Shock wave lithotripsy E. Straining of the urine Questions 2 to 3 A 52-year-old man returns to the office for reevaluation of an ulcer on his right great toe. The patient has a 15-year history of diabetes mellitus and takes glipizide and rosiglitazone. He first noticed the ulcer 2 months ago. One month ago, a 14-day course of oral amoxicillin-clavulanate therapy was prescribed. He has smoked one pack of cigarettes daily for the past 37 years. He is 178 cm (5 ft 10 in) tall and weighs 102 kg (225 lb); BMI is 32 kg/m2. Today, vital signs are temperature 38.8°C (101.8°F), pulse 96/min, respirations 12/min, and blood pressure 130/85 mm Hg. Physical examination of the right great toe discloses a 1.5-cm nontender ulcer with a depth of 0.5 cm, a moist base, yellow exudate, and surrounding erythema to the level of the malleoli. Vibration sense and sensation to monofilament examination are absent. Pulses are diminished in both feet. Capillary refill time is 2 seconds in the right great toe. Urinalysis discloses 3+ protein. 2. Which of the following historical factors or physical examination findings is most strongly associated with development of this patient's foot ulcer? A. Diminished pedal pulses B. Neurologic findings C. The patient's weight D. Proteinuria E. Tobacco use 3. Which of the following is the most appropriate action at this time? A. Begin aggressive debridement in the office B. Begin intravenous antibiotic therapy C. Refer the patient for transmetatarsal amputation D. Schedule the patient for a third-degree skin graft E. Switch the amoxicillin-clavulanate to oral ciprofloxacin [Show More]

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